Abstract
Relevance. Proximal humerus fractures constitute 5 to 6% of all fractures in adults and are the third most common osteoporotic fracture. Advanced surgical techniques, accumulated knowledge and practical experience, as well as new evolving implants have expanded the indications for surgical treatment. Dedicated studies, however, fail to outline any superior and convincingly outperforming surgical treatment option.The objective is to find out most optimal treatment options by comparing the results in patients with proximal humerus fractures who underwent either blocked intramedullary osteosynthesis (BIOS) or osteosynthesis with precontoured angular stable LCP humerus plates (LCP).Methods. The study included 534 patients with proximal humerus fractures who underwent surgical reconstruction between 2015 and 2024, including 503 (94.2%) patients undergoing BIOS and 31 (5.8%) patients undergoing open LCP repositioning.Results and discussion. The treatment results were assessed in 173 (32.4 %) patients. The postoperative follow-up did not exceed 8 months. BIOS technique allowed to achieve favorable results in terms of absence of pain, restored joint function and scope of movement, as well as low re-operation rate. LCP osteosynthesis showed a slightly poorer performance for all the studies parameters.Conclusion. Blocked intramedullary osteosynthesis is a safe and efficient treatment option in proximal humerus fractures, associated with reliable stabilization, minimized tissue trauma, intact blood supply, low risk of postoperative wound infection, decreased operation time, and early rehabilitation without complications. However, the use of intramedullary pins is not a ‘one-size-fit-all’ treatment strategy. The treatment decision should be supported by advanced diagnostics, taking into account the type of fracture, bone tissue quality and concomitant pathologies, as well as patient’s individual characteristics and expectations.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call